[0001] Factor VIIIC is a plasma protein that participates in the intrinsic pathway of blood
coagulation. It is absent or defective in individuals with the hereditary X chromosome-linked
recessive bleeding disorder hemophilia A. Great difficulty has been encountered in
isolating Factor VIIIC due to its extremely low concentration in plasma and the fact
that it appears to be an intermediate or final degradation product of a larger protein
precursor. Efforts to isolate Factor VIIIC have led to complex mixtures of various
polypeptides having significant heterogeneity and varying molecular weights.
[0002] It would be of great interest therefore to prepare monoclonal antibodies which are
capable of selectively reacting with individual polypeptides or groups of polypeptides
which are derived from Factor VIIIC.
[0003] US-A - 4 361 509 and references cited therein describe purification of Factor VIIIC
(see also Fulcher and Zimmerman,
Proc. Natl. Acad. Sci. USA 79 (1982) 1648-1652). Tuddenham
et al.,
J. of Lab. Clinical Medicine 93 (1979) 40-53 describe purification of Factor VIIIC using polyclonal antibodies. Austen,
British J. Hematology 43 (1979) 669-674 describes the use of aminohexyl-Sepharose for Factor VIIIC purification.
Weinstein
et al.,
Proc. Natl. Acad. Sci. USA 78 (1981) 5137-5141 describe a study of the effect of thrombin on Factor VIIIC (see
also Kuo
et al., Abstracts for IX International Congress of Thrombosis and Hemostasis, Stockholm,
July, 1983).
[0004] Hybritech Data Sheet (Hybritech, Inc., 11085 Torreyana Road, San Diego, California
92121) describes a monoclonal antibody (Catalog #0432) which is specific for human
Factor VIIIC. DK-A-53519 describes the preparation of monoclonal antibodies to human
factor VIIIC and polypeptide fragments thereof. Certain of the monoclonal antibodies
described in the Danish patent application are also described by Zimmerman et al.,
Blood
61 (1983) 807. Fass et al., Blood
59 (1982) 594, report that active human Factor VIIIC may be eluted from monoclonal antibodies
by ethylene glycol (50 %).
[0005] Human Factor VIIIC is a complex protein which can be isolated in substantially pure
form and exhibits an apparent molecular weight of about 460 kD. Upon electrophoresis
under denaturing conditions, a large number of fragments of varying molecular weights
result: 240, 160, 140, 115, 92.5, 80 and 77 kD, the latter two being found to migrate
as a doublet. Analysis of the fragments by chemical and protease cleavage including
thrombin, employing the monoclonal antibodies including those of the present invention
to follow immunogenic relationships and cleavage patterns to follow structural relationships,
demonstrates that the 92.5 kD polypeptide is related to the 240, 160, 140 and 115
polypeptides while the 77/80 kD doublet appears to have common antigenic characteristics
with only the 240 kD polypeptide. It is further found that the 77/80 kD doublet is
converted by thrombin to a 67/70 kD doublet, while the 92.5 kD polypeptide present
in purified Factor VIIIC material treated with thrombin is cleaved by thrombin, directly
or indirectly, into two polypeptides of about 40 and 52.5 kD.
[0006] EP-A-123 945 discloses monoclonal antibodies of class IgG produced by a hybridoma
cell line which react with human Factor VIIIC polypeptide fragments. None of these
antibodies (cf. EP-A-123 945, pages 4 and 5) has such a specifity pattern as to react
exclusively with the 80/77 kD doublet, and eventually with the 240 kD polypeptide
fragment of Factor VIIIC.
[0007] It is the object of the present invention to provide particular hybridoma cell lines
producing monoclonal antibodies having a specific reactivity pattern with Factor VIIIC
fragments, and specifically reacting with the 80/77 kD doublet, or the 92.5 kD fragment,
and to provide the respective monoclonal antibodies.
[0008] The above object is achieved according to the claims. The depending claims relate
to preferred embodiments.
[0009] The invention provides particular hybridoma cell lines producing monoclonal antibodies
reactive with human Factor VIIIC. The class I cell lines 1B9 and 2F6 produce monoclonal
antibodies which react with the 80/77 kD doublet and with a 240 kD fragment. The class
III cell lines 4E5 and 5B1 produce monoclonal antibodies which react with the 240
kD fragment, the 92.5 kD fragment and its precursors, as well as a 40 kD thrombin
digestion product of Factor VIIIC material. The antibodies produced by the above-mentioned
cell lines do not display coagulation inhibition.
[0010] The cell lines 4E5 and 5B1 are deposited with the American Type Culture Collection,
12301 Parklawn Drive, Rockville, Maryland 20852, US, under accession numbers HB 8688
and HB 8689, respectively.
[0011] The invention further provides hybridoma cell lines which produce monoclonal antibodies
having a reactivity substantially identical to that of the monoclonal antibodies obtained
from the above-mentioned hybridoma cell lines, and also the monoclonal antibodies
obtained from these hybridoma cell lines.
[0012] Other deposited cell lines of group I producing monoclonal antibodies specifically
reactive with 80/77 kD doublet, or specifically reactive with the 80/77 kD doublet
as well as the 240 kD fragment, respectively, and the antibodies produced by these
cell lines are subject-matter of the parent patent EP 152 746.
[0013] The monoclonal antibodies of the present invention are useful for a variety of purposes.
For example, the antibodies may be used to isolate the entire Factor VIIIC complex
from plasma, as well as isolating the various polypeptide fragments of Factor VIIIC
from a purified source. In addition, the antibodies may be used for detecting the
presence of Factor VIIIC and related polypeptides in plasma by a variety of immunoassay
techniques. Suitable immunoassay techniques are well known and amply described in
the scientific and patent literature.
[0014] The monoclonal antibodies of the present invention may also be used to facilitate
preparation of additional hybridomas producing monoclonal antibodies having substantially
identical reactivity, but often differing in other characteristics, such as isotype,
binding affinity, and the like. This can be achieved by using the monoclonal antibody
to enrich these polypeptides carrying determinant sites recognized by the antibody
in a source Factor VIIIC. Conveniently, an affinity column may be prepared using the
desired antibody. By then applying the Factor VIIIC to the column in an appropriate
buffer, polypeptides recognized by the antibody will be bound. After washing the column
to assure removal of non-specifically bound proteins, the polypeptide of interest
may be released from the column by adjusting the pH, employing urea, or by utilizing
other mildly denaturing conditions. The antigen may then be isolated and used to hyperimmunize
an appropriate host, and hybridomas produced by the now classical teachings of Kohler
and Milstein (Nature 256 (1975) 495), or more recent adaptations thereof. Details
of suitable immunization, immortalization, and screening procedures are set forth
below. Following such procedures, a variety of antibodies having substantially identical
reactivities, but differing in class, binding constant, host, and the like, can be
obtained.
[0015] In general, hybridomas may be produced by first hyperimmunizing a mouse or other
small mammal with the Factor VIII polypeptide of interest. Specific methods of immunization
are well known and are amply described in the literature. The Factor VIII polypeptide
is injected with or without adjuvants into the mammal followed by from 2 to 6 subsequent
booster injections over a relatively short period of time. The animals are then killed,
usually several days after the final injection, the spleens removed, and the spleen
cells immortalized.
[0016] The manner of immortalization is not critical. Presently, the most common way is
fusion with a myeloma cell fusion partner, which method is exemplified here. Other
techniques include EBV transformation, transformation with bare DNA, e.g., oncogenes,
retroviruses, etc., or any other method which provides for stable maintenance of the
cell line and production of monoclonal antibodies.
[0017] When employing fusion with fusion partner, the manner of fusion is not critical,
and various techniques may be employed. Conveniently, the spleen cells and myeloma
cells are combined in the presence of polyethylene glycol, a suitable growth medium,
and other additives, for a few mimutes. At the end of the fusion, the non-ionic detergent
is removed by washing the cells.
[0018] The fused cells are then promptly dispensed into small culture wells, usually in
a microtiter plate, at relatively low density for screening. The growth medium in
the culture wells is selected to support growth of the hybrid cells while being lethal
to the myeloma cells. Conveniently, the myeloma cell line has been mutated to be sensitive
to particular agents, typically being HAT sensitive.
[0019] After sufficient time, usually from one to two weeks, colonies of hybrids are observed,
and plates containing positive wells are identified. The plates and wells having only
one colony per well are selected, and the supernatants from these wells are tested
for binding activity against the particular polypeptide fragment(s) of Factor VIIIC.
Other characteristics of the hybridoma cell line and monoclonal antibodies, such as
growth characteristics of the hybridoma, binding affinity of the monoclonal antibodies,
antibody class, cross-reactivity of the antibodies, and the like, can then be determined.
Those hybridomas which produce antibodies having the desired specificity as well as
other desirable characteristics can then be maintained as viable cultures and/or frozen
storage.
[0020] The following examples are offered by way of illustration.
1. Purification of Factor VIIIC
[0021] Human Factor VIIIC was isolated from commercial cryoprecipitate preparations by a)
immunosorbent chromatography using a polyclonal anti VIIIR-Sepharose column by a method
first described by E.G.D. Tuddenham, N.C. Trabold, J.A. Collins, and L.W. Hoyer,
J. of Lab. Clinical Medicine 93 (1979) 40; and b) a chromatographic separation on aminohexyl-substituted agarose
as was originally described by D.E.G. Austen,
British J. of Hematology 43 (1979) 669. Details of the procedures are described below.
[0022] Goat anti-human Factor VIII Related Antigen (VIIIR) serum obtained from
Atlantic Antibody (cat. no. 040-01), was treated with either a standard 0-50 % ammonium sulfate cut
followed by DEAE cellulose column chromatography, or a similar 0-33 % cut without
subsequent chromatography. These materials were then conjugated to CNBr-activated
Sepharose CL2B or 4B, respectively (Pharmacia, 17-0140-01 or 17-0430-01), and poured
as a column (anti VIIIR-Sepharose column).
[0023] "HEMOFIL", a stable, dried preparation of antihemophilic factor (Factor VIII, AHF,
AHG) in concentrated form prepared from fresh, normal human plasma, representing about
a 40-fold enrichment for Factor VIIIC, was dissolved in the following buffer : 0.02
M imidazole, 0.15 M NaCl, 0.1 M lysine-HCl, 0.02 % NaN₃, pH 7.4.
[0024] After being dissolved, the Hemofil was applied to the above-described anti VIIIR-Sepharose
column. Non-specifically bound protein was eluted with the above buffer modified to
0.5M NaCl. Next, Factor VIIIC was eluted with the above buffer containing 0.35 M CaCl₂,
with the addition of 10 % glycerol which stabilizes the Factor VIIIC activity. Active
fractions from the immunosorbent column were pooled and dialyzed against buffer (0.02
M imidazole, 0.15 M NaCl, 0.1 M lysine-HCl, 0.025 M CaCl₂, 0.02 % NaN₃, 10 % glycerol,
pH 7.4). An aliquot of the dialyzed fractions, which contained 1,100 units of Factor
VIIIC, was applied to an aminohexyl-Sepharose 4B column (1 x 6cm) equilibrated with
dialysis buffer described above. Factor VIIIC activity was eluted with the same buffer
containing either 0.35 M CaCl₂ or 2 M NaCl. The activity was found to be in a volume
of 2 ml with 500 units of Factor VIIIC per ml. Subsequent experiments carried out
in the same manner provided a recovery of 25 % off the anti VIIIR column and a recovery
of approximately 90 % off the aminohexyl column. Alternatively, pooled, dialyzed material
eluted from the immunosorbent column is first applied to a dextran sulfate agarose
(Pharmacia) column (1.5 × 6cm) equilibrated with the dialysis buffer above and eluted
with the same buffer. Several minor contaminants, e.g., fibrinogen, fibronectin, IgG,
are retained on the column while Factor VIIIC emerges in the flow-through which is
collected and loaded on the aminohexyl-Sepharose column as before.
[0025] Both biological, i.e., clotting, and antigenic (CAg) activity were shown to be present
in the purified Factor VIIIC, as demonstrated by the subsequent assays indicating
a 5,000-fold purification over the 40-fold concentration in Hemofil. Using a standard
commercially available three component kit from General Diagnostics, (APTT, Factor
VIII deficient plasma, Verify Normal Citrate) a coagulation assay was carried out
and indicated high levels of Factor VIIIC biological activity.
2. Preparation of Monoclonal Antibodies
[0026] Balb/c mice were immunized with purified human Factor VIIIC, as described above.
Spleen cells (10⁸) were fused with 10⁷ mouse myeloma cells (cell line P3X63Ag8 , 653
(Kearney et al., J. Immunol.
123 (1979) 1548-1550) according to Kohler and Milstein, Nature
256 (1975) 495. The products of each fusion were plated onto two 96 well microtiter plates.
A spleen cell feeder layer was used at 10⁴ cells/well. Colonies were visible microscopically
from the fifth day, and the supernatants were assayed every few days for presence
of antibodies against Factor VIIIC. An enzyme linked immunoadsorbent assay (ELISA)
was used employing the following layers in an immunoassay plate (Nunc F2):
- 1st layer:
- Purified Factor VIIIC
- 2nd layer:
- Hybridoma cell supernatant
- 3rd layer:
- Horseradish peroxidase (HRP)-labelled goat anti-mouse IgG
- 4th layer:
- HRP-substrate.
[0027] Four positive cell lines were identified, subcloned, grown in liter scale cultures
and characterized as described in Section 4. The cell lines were designated as 1B9,
2F6, 4E5 and 5B1.
3. Amplification of Positive Hybridomas
[0028] In order to be certain that each hybridoma producing anti-Factor VIII antibodies
was free from cells producing other immunoglobulins and cells not producing immunoglobulins,
purification by subcloning was performed. Dilutions of the hybridoma cells were seeded
in microtiter plates, such that each well theoretically contained a single cell. When
necessary because of low cloning efficiency, initial seeding was at two cells per
well followed by a second seeding at one cell per well. After 7 to 14 days, supernatants
from each colony of presumptively identical cells derived from each hybridoma cell
line were screened to identify the anti-Factor VIII producing colonies. The positive
subclones were then expanded to macroculture.
[0029] Multiple aliquots of each cell line were frozen in liquid nitrogen as soon as purification
was complete. This provided amplification of the cultures from the original single
microwell (10² cells in 0.2 ml) to about 10⁸ cells, which corresponded to about 100
ml of medium. The cells were very sensitive during this stage of growth, and improper
handling could result in death of the culture. Although individual characteristics
of each cell line meant that identical procedures could not be used for all four lines,
the following steps were generally employed to keep the cultures alive and growing:
1. Micro wells were approximately ¼ confluent before transfer to macroculture.
2. Pre-conditioned medium was used for the first two weeks of subculture.
3. Transfer from macro to flask culture was delayed until at least 4 ml of macroculture
was grown to half-confluence.
4. Dilution of the flask culture was limited to less than 1 : 2 for the first few
passages.
4. Characterization of Monoclonal Antibodies
[0030] To identify the immunoglobulin class of the monoclonal anti-Factor VIIIC antibodies,
an immunoassay for mouse IgG was carried out in which the coating antibodies were
specific for immunoglobulin-subclasses. Microplates precoated with anti-isotype antibodies
were obtained from Hagedorn Research Lab. The antibodies produced by hybridoma cell
line 5B1 were found to be IgGM (while those produced by the cell lines of EP 152 746
were found to be Ig 1).
[0031] Two classes of monoclonal antibodies were identified according to their reactivity
with Factor VIIIC polypeptides using the following procedure. Hybridoma culture supernatants
were incubated for 12 hours at room temperature with polystyrene beads (1/8˝ diameter,
Precision Plastic Ball Co., Chicago) coated with affinity-purified goat anti-mouse
immunoglobulin (IgG). The polystyrene beads were washed with phosphate-buffered saline
and reacted with purified Factor VIIIC labelled with 125I using the chloramine T method.
The labelled proteins bound on the beads were solubilized in SDS sample buffer for
gel electrophoresis and were separated on an 7.5% acrylamide gel (Laemmli, Nature
227 (1970) 280).The gel was fixed, dried and exposed to Kodak X-Omat film with an intensifying
screen for 20 hours or longer at -80 °C. The results obtained with this procedure
allowed classification of the monoclonal antibodies as follows:
Class I : react with the 80/77 kD doublet or with the 80/77 kD doublet and a 240 kD
protein fragment. These antibodies also react with a 70/67 kd doublet when thrombin-digested
Factor VIII is used in the assay, indicating that the 70/67 kd doublet produced by
thrombin digestion, is derived from the 80/77 kd doublet.
Class III : react with 240, 140, 115, 92.5 kD proteins as well as with a 40 kD peptide
preduced by thrombin digestion of purified Factor VIIIC material.
[0032] Table 1 indicates the class corresponding to each of the monoclonal antibodies produced
by the different hybridoma cell lines.

[0033] The antibodies were screened for Factor VIIIC coagulation inhibition activity using
the conventional Bethesda assay (C. Kasper, Thrombos. Diathes. Haemorrh.
34 (1975) 869-782). Of the above antibodies, only those produced by cell line 56 displayed
coagulation inhibition activity.
[0034] The following experiments were performed to study the association between the 92.5
kD protein and the 80/77 kD doublet, as well as to investigate the role of calcium
in the association. The following ELISA assay were performed in the presence of 10
mM CaCl₂ or in the presence of the same concentration of CaCl₂, 10 mM EGTA, and 10
mM EDTA.
- 1st layer:
- Monospecific anti (mouse IgG)
- 2nd layer:
- Class III monoclonal antibody (anti-92.5 kD) or Class I monoclonal antibody (anti-80/77
kD)
- 3rd layer:
- Purified Factor VIIIC material
- 4th layer:
- HRP-human inhibitor antibody to 80/77 kD.
[0035] The results are shown in Table 2. As Table 2 shows, a strong HRP reaction is obtained
when only calcium is present in the assay, indicating that the 4th layer (HRP-human
inhibitor antibody to 80/77 kD) is binding to the complex associated to the Class
III monoclonal antibody. When EGTA and EDTA are added to the assay, HRP activity bound
in the assay corresponds only to non-specific bounding. These results demonstrate
that the 92.5 kD protein is bound to the 80/77 kD doublet through calcium bridges.

[0036] In the parent patent EP 152 746, additional assays were performed to characterize
the monoclonal antibodies in terms of the epitopes they recognized. Competition assays
were performed by reacting Factor VIIIC immobilized on microtiter wells with 125I-42
IgG or 125I-47 IgG and unlabelled antibodies obtained from cell lines 42, 47, 56 and
I-28 of EP 152 746 at various dilutions. The results showed that monoclonal antibodies
obtained from cell lines 47 and 42 react with different epitopes. They also showed
that it is likely that monoclonal antibodies obtained from cell line 56 react with
an epitope near the binding site of monoclonal antibodies obtained from cell line
42 and induce a conformation change in VIIIC that enhances the affinity for antibodies
obtained from cell line 42.